Abstract
Tuberculosis represents a major matter of public health in Romania and as a result the antituberculosis activities provided by NTP take into account also to point out all the aspects and tendencies of TB endemy.
Objective: In the context of an increased TB endemy (notification rate 99,9% 000 meaning 21457 cases in 2009) but with a decrease tendency in the last 7 years, we intended to determine extrapulmonary TB weight and structure by locations among 2007 – 2009.
Material and method: We have used information in the national data basis within the service of NTP epidemiologic supervision.
Results: Among 2007 – 2009, extrapulmonary TB weight from all sites was chronologically the following: 13,49% =3351 cases (2007), 13,41% = 3310 (2008) and 14,51% =3378 (2009). TB pleuresies represented 62,1% (2007), 62,1% (2008) and 58,1% (2009) of the extrapulmonary sites. In absolute figures, the other extrapulmonary sites were 1263 cases in 2007, 1252 in 2008 and 1381in the last year, 2009. The most frequent extrapulmonary localizations (without pleuresies), whole values during the three studied years, were: intra and extra thoracic adenopathies (1804 cases), osteoarticular localizations (816), meningoencefalites (348), renal and urinary tracks (204) and pericarditis (152) etc. During this period, there were only 2 TB tiroidian cases and no surrenal case.
Conclusions: Extrapulmonary TB forms among 2007-2009 keep a constant weight level within the structure of TB sites. The high level of pleuresies (with phtisiogenic risk) and also the high frequency of TB meningities (severe prognosis, element of epidemiologic gravity) involve an increased responsibility in TB control.
- © 2011 ERS
